DIN/PIN/NPN Detail

68:00 HORMONES AND SUBSTITUTES

68:32:00 PROGESTOGENS AND ORAL CONTRACEPTIVES

Brevicon 1/35 (ETHINYL ESTRADIOL & NORETHINDRONE)0.035mg & 1mg Tab-28 Pk

DIN/PIN/NPN:02189062

Interchangeables:

Manufacturer:

Formulary Listing Date:

1996-10-01

Drug Benefit Price or Unit Price:

15.6700

Amount MOH Pays:

15.6700

Coverage Status: